Thank you for taking time to share your thoughts!

We are pleased to launch the Inclusion in Action, quarterly newsletter. Note this survey is exclusively for agents. Please share your feedback for an opportunity to receive $75 off the Be Diverse Conference in Boston on October 28. 

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* 1. First and Last Name

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* 2. Agency Name

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* 3. Please provide email address if interested in discounted registration for Be Diverse event in Boston, October 28.

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* 4. State

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* 5. Are you a Big “I” Member?

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* 6. We want to hear from you on diversity, equity and inclusion (DEI). Please share your thoughts on any of the following ideas...
  • Why are you interested in attending the Be Diverse Conference in Boston, October 28?
  • What would you like to learn/see highlighted in our new diversity newsletter (Inclusion in Action)?
  • What would you like to see the Big “I” (national or state level) do in DEI?
  • What types of DEI educational resources interest you most?
  • What are you doing (or would like to do) in the industry pertaining to DEI? 
  • How would you like to get more involved in DEI across the insurance industry?

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* 7. The Big "I" has special resources for agents identifying with one of the below underrepresented groups across the independent agency channel. Please check all that apply and note your response is OPTIONAL.

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